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* The pink letter sections are all required fields
Date
Year   Month  Day
    Schools in your catchment area
High Schools
Elementary Schools


1.Family Information
    HOME ADDRESS
Address
City
Province
    Britsh Columbia
Postal Code
with space
Phone
E-Mail
    HUSBAND
Last Name
First Name
Age
Occupation
Employer’s Address
Phone
    WIFE
Last Name
First Name
Age
Occupation
Employer’s Address
Phone

    OTHER FAMILY MEMBERS
No
Relationship
Name
Age
Grade
Occupation / School
Remark
1
2
3
4


2.Home Information
Home type
   House   Townhouse  Duplex  Apartment  Otehrs
No. of Vehicles
   
Rooms
    No. of Bedrooms    No. of Bethrooms  
    Location of Bedroom for Student  floor
Facilities for Student
   Desk   Chair  Closet Desk Lamp  Alarm c lock
    Otehrs
Other facilities
    Internet   Swimming pool  Sauna  etc.
Please describe, briefly your family environment. (easy going, serious, quiet, strict, communicative, liberal, individual or family oriented, etc)    
List activities and interests of family members   
Family religious affiliation
 
Have you ever hosted a foreign student before?   Yes    No
If your answer is yes, please write what country and how long?   
Do you have pets?  Yes No
If your answer is yes, please write where are they kept?   
Does anyone in the family have a particular interest in music or sports?    
Does any member of the family have a chronic or serious illness, disability, nervous or mental disorder?
What time do your children go to bed ?   
Describe family roles.   
What household duties would you expect of your student?   
Why do you want to host a student?   
Pictures : Please include pictures of
   1) front of your house  
   2) family members      
   3) student’s room         
Criminal Record Check       Yes     No      Date Year   Month  Day
Which of the following Canadian holidays and cultural days does your family participate in ? (Please check all boxes that apply)
Birthdays Valentine’s Day Mother’s Day Father’s Day
Canada Day BC Day Labour Day St. Patrick’s Day
Remembrance Day Halloween New Year’s Day Christmas
Easter Passover Kwanza Hannukah
Diwali Thanksgiving Rosh Hashana
Yom Kippur Ramadan  Others
Any comments to Yes International Academy

  

 

 

 
 
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